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BUILDING- INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS OWNFJR BUII,DER DFJT,CARATION
<br />I hcrehy rtlirh ondcr Fnalry of FrJury rhr I d ci.mfr lion rhc Cinrraultrr l-i.cnsc li* ,i,r rhc tulktwi8 r..$n (Sc. ?0]l 5
<br />Burn.s . PNlasD, C,rlc): Any Crry or Counry which FquEs r lf,m o .on(ocr, .llcr. rhpn,vc. dcmolGh or Eprr My
<br />dtucrurc. prM b (s rsu c.. rko rcquf.( rh. ap/{Mr tur \u.h lErnxl b liL a r3nc'l nlrcmnr rhd hr or shc is lk nrcd Futsuanl
<br />1,, lhc prcvrklns ol llr Conlracttr's l-ic.!{'l tjw (Chrfl.r g, Conh.nr6! wdh Serk)n 70tt) ol Drvis!,n I ol rhc Busin.* m,i
<br />Pn,ri\\ion\ CGlc)orrhrr h.orsh. r\crcmtr rh.afron rnd rh.b3sn ntrthc lllcgci crempri,,n. Any vn,lf,rn,nofSc.l$t 7011.5 byrny
<br />.pnlrdnr Ln pcrmir nrhl.ch rhe q'plclnr i' acrvrlpcnllryol n.r frtrc rhrn,ivc hunJodJDUds (55tD)
<br />(t.^.,**,"r'tp.,,1",y.,trmycntl.,vcr.sihErr(r\rh.r$kctrmF.\.I()n,wl,lolhc*orts rtrnulmskn
<br />'mrc'rl.al i tr ollcrcJ r. tr wk I S(.7u.l4. A u(im( anJ Pn'li\sons Cdie: I he O'ntn.tr r Liccn\c ks Jo6 hd aPJ'ly to an owncr ol
<br />rhc pnDcny wh, hu'[\ or mpn,rcs thcN)n, u *ho Jt$ \uch w)rl{ h'h!.ll or h.rclf.r thDu3h ht ur hcr own .mplt'ycc(.
<br />an)vid.d rhar n'd DpnrvcnEfi m nor mr.nlcit d oltcre'l ,6r srlc ll. h,wcvdr. rhc hJdm! or nlooEmnl r $ll wihm onc ttr
<br />otcompLron. rh.owmrBu cr wil hlr rlr hunJch ol !tuvine rhd tE or lhe lit nn hnil(l or ir{k,v. rhc phJlrty ktr th. I4rF}c ol
<br />L ns owncr ot rhc ptulxdy, !m crclurvcly conrr.cl h-! w( h lE.nEJ .onrrun'c n, .on(dd rlt pn,ad (S.c ?0a4. Bs'rcs
<br />rnJ l\n!{\rDct c:'lhcConrracktr'sI-r.ns. Lrwdor\ norrttlyt' anorh( Il)mpcny*ho huild\ or imtovd rh.tcon,
<br />and who .rnt ctsntr nr.h poFcr\ wlh i Cbnrrlun)n I h.en{'] pu rd brh.Conkrrnr'i Lf,cns. L!w).
<br />I 4tt Iq
<br />"'" .-*.xJmw,-'F,fiffiGfiiniill rf" ":i+#,*I hcr.hy dlltrnr undcr lrcniltyollcqutf.nc ol
<br />I hrvc ul wlll nR rntrm a Ctn rlrarc ol C,,nrnr t' Scll ln!u!. litr workcr' $n,r.ns&on, as Psvkic! nlr hy Sc.hon]?00 ofrh.
<br />LilttrCdc. tttr rh. !.rfdrmke ol rhe *.* lor whi.h rhcFrnxr s rucJ
<br />I hrk rnl *illn,r'nrrin wo ls conit^..i\rrii,n in\utun.r. r\ r.lutr.J hyS.di,,n ll(xlolrhc ltrtrnCo'1.. krrh. |].n rnrkc.,
<br />tlr work lirwhi.h rhtr p.rh i\ ^\utrl Mywork.'\'ron,fn\rr(r,'n{nJ&ccarrrinlF)lrcynunrh.rrN:
<br />X.cnrryrh orhc p.normfrc ol rhc wolk n)r*hi.hrhnFrmil tr is\ucJ.I rhdll nor .nPkJy ,try ncron in (ny mrn.r
<br />$ 6bhc('m s$jc.r hrhc worlca'conl^_n\rron l.w\.fcrLtunnd, J r3(r lhirrl I \huld hc.om ruhF.r ttrlx
<br />wo!k.6 rompcnmro. nmva[n\ ofScorn ]700 ntrh. Latxtr C.rl..l \hrll n)nhwirh comply *rrh rh'{ Ptuvi\n,n\.
<br />WARNINGT FrntrN n' {cutr'*trkcN ..nDcnsartr)n rovcn8c is urlf,}irl. aftl lhrll suhAr an cfrploycr o lriminrl pcMLics rnd
<br />.1vd hn.1 up nr nnc htrntircd rh.usrBt iolhn (Sllx),000). rn ol conpcnsarnn, damaics ,s p(,v'd.d li)r dr
<br />S.d()n llr76.r rhc Irhtr!??trir.: I a*<- '
<br />CnJc. u cr.{ rnJ d(trmy \ lr.s
<br />t1
<br />I hcrhy i,lro und.r Jrnrlrt dl r.qtrryrh l !m [dnrd und.r prnvi{i()noiChJplcr9(comftnc,nS wihSettn?000)ol l)'vtrnnI
<br />ol lhc Bunnc\s {nl Pnrc$ion\C{}1.. rrl n'y I'co\. i\ in InU l,trr fil.lii'cr
<br />Drl.:-
<br />CAIIIASEIIOIIEIDINC-AG.ENCI
<br />I hcrcby!ftnmu*lcr JEn.llyolrarjuryrh rncrc n r u,nd dcri'n Lndng 4c.cy fur rhc Fcrl mnuc or rhc work fd wtuch rhis Frmit E
<br />nnrd (S.c. 1097, Civ. C.).
<br />llsErJClrL!)Er! !tqo!
<br />I lf,'thr xllnn, trnd.r rrtrrirv ol t{rl(y 'trtr'ol rhc nnkNn'p dc.lJrrtr)nr
<br />D.ntuhLon Pfntrr\ drlo\ N nlLQrDn l.d.ul RcSrllinnr I I irlr t0. Prn6)
<br />_Rcquird t ttcrot Noldicaliln
<br />_l ddifyrhar rh. Ldcral r.guhi'ns FtcdrnS ashcsios rcmval arc nol appli.$k ro ihr ptuj.rt.
<br />I.cn[y thal I hav. rcad tht.ptlicdi,)n an narc rhar rhc.h,vc inromron (.otu-.t.I rye to comdy *iih lU Cny r.d Colnly
<br />oniinxn..! Md S(dc bw\rcljl13 n, hurlLlnr3..llcknl.tr\cs rithFCiry dCornryrdcnrn uponttr
<br />ih,vc nrnrr)ncl pn)p.ny ntr in\I.dk,n
<br />AnDlic.nl.r AECnI SiEn{h'
<br />tl lz.t?
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loorivenVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq 8/r/t f /lol,ilin /oq
<br />lns u lation/ Enerq y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />FrNAL gir/// r Ld(z t o ?
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />DATE
<br />Lr.nrc (lrs: l.'(cn\c No ,tir:
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